Loading facility…
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D4 | E7 | F· |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| May 19, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 11, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Dec 11, 2025 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Nov 10, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 15, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Aug 15, 2024 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Jun 15, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jun 15, 2023 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D4 | E7 | F· |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 19, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 19, 2026 | Complaint |
| Dec 11, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 15, 2026 | |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 2 facilities.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Michael Cummings | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 15, 2025 |
| Deidre Kinsey | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2024 |
| Sharon Darden | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Andy Gans | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2018 |
| John Hartman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2018 |
| John Hudson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2021 |
| Judy Lakin | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2026 |
| Richard Leathers | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2013 |
| John Lemen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2017 |
| Suzanne Mcphail | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2018 |
| Kathleen Redden | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2011 |
| Jeanette Wennenweser | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2015 |
| Locke Braly | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2025 |
| David Elledge | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2025 |
| Deidre Kinsey | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 1, 2024 |
| Jeffrey Nash | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 29, 2026 |
| Richard Nunn | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2015 |
| Roberto Camacho-Acevedo | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 26, 2024 |
| Michael Cummings | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 2, 2026 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| The Hallmark 4718 Hallmark Dr, Houston, TX 77056 CCN 676423 | 32 | Mar 18, 2026 | 20 | — |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Holly Hall 2000 Holly Hall St, Houston, TX 77054 CCN 676306 | 4.2 km | 62 | Oct 7, 2025 | 28 | — | |
| Paradigm at Westbury 5201 S Willow Dr, Houston, TX 77035 CCN 675612 | 4.3 km | 148 | Aug 15, 2026 | 584 IJ4 harm6 open | $128k | |
| Garden Terrace Healthcare Center of Houston 7887 Cambridge St, Houston, TX 77054 CCN 675671 | 5 km | 120 | Jul 21, 2026 | 302 IJ2 harm | $87k | |
| The Methodist Hospital SNF 6565 Fannin, Houston, TX 77030 CCN 675370 | 5.1 km | 25 | Aug 29, 2025 | 3 | — | |
| Seven Acres Jewish Senior Care Services 6200 North Braeswood Blvd, Houston, TX 77074 CCN 676152 | 5.3 km | 144 | Jun 25, 2026 | 301 IJ | $25k | |
| Brookdale Galleria 2929 Post Oak Blvd, Houston, TX 77056 CCN 675834 | 5.7 km | 56 | Mar 23, 2026 | 373 IJ2 harm | $73k | |
| St Dominic Village Rehabilitation and Nursing Cent 2409 E Holcombe Blvd, Houston, TX 77021 CCN 676170Abuse icon | 6.3 km | 158 | Aug 11, 2026 | 191 harm1 open | $42k | |
| Avir at Orem 3730 W. Orem Drive, Houston, TX 77045 CCN 676314Abuse icon | 6.7 km | 120 | Aug 18, 2026 | 382 IJ | $58k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676282 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676282 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| F-0761 |
| D · Potential harm Isolated |
| Corrected Jan 15, 2026 |
| Nov 10, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Dec 15, 2025 | Complaint |
| Aug 15, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 16, 2024 |
| Aug 15, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 16, 2024 |
| Aug 15, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 1, 2024 |
| Jun 15, 2023 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 3, 2023 |
| Jun 15, 2023 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jul 15, 2023 |
| Jun 15, 2023 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jul 15, 2023 |
| Jun 15, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 15, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.50 (case-mix index 1.38).